Publications by authors named "Rohan Parikh"

Purpose: Cyclin-dependent kinase 4/6 inhibitors (CDK4/6is) combined with endocrine therapy is the recommended first-line (1L) treatment for hormone receptor-positive and human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer (ABC). Real-world evidence (RWE) describing 1L CDK4/6i regimens and associated clinical outcomes in Europe is limited. The study objective was to describe clinical characteristics, tumor response, and survival outcomes in patients with HR+/HER2- ABC.

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End-stage renal disease (ESRD) is a serious and lethal disease that carries with it a high morbidity and mortality rate if left untreated. Treating ESRD is conducted via renal replacement therapy and/or kidney transplantation, with the latter being the preferred option given the better outcomes and quality of life for the patients. However, as ESRD rises in prevalence, kidney transplantation rates remain largely unchanged.

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Introduction: This study describes baseline and clinical characteristics, treatment patterns, survival, and safety outcomes of patients with acute myeloid leukemia (AML) who received oral azacitidine (oral-AZA) maintenance therapy in Canada following its approval in 2021.

Methods: A retrospective, observational medical record review was conducted of patients with AML in remission after induction therapy and who initiated treatment with oral-AZA between March 2021 and July 2023 in Canada. Real-world relapse-free survival and overall survival outcomes were estimated using Kaplan-Meier methodology.

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Purpose: To evaluate economic outcomes in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) metastatic breast cancer (mBC) treated with a first- or second-line cyclin-dependent kinase 4/6 inhibitor (CDK4/6i).

Methods: This retrospective analysis utilized Optum's Clinformatics DataMart (January 1, 2014-September 30, 2021). Included patients had ≥1 pharmacy claim for palbociclib, abemaciclib, or ribociclib in first or second-line and ≥6 months of continuous health plan enrollment in preindex (index: date of first CDK4/6i claim) and follow-up periods.

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Aim: Assess real-world fedratinib (FEDR) treatment patterns and clinical outcomes in patients with primary or secondary myelofibrosis following discontinuation of ruxolitinib (RUX).

Patients & Methods: This study was a retrospective, noninterventional medical record review of patients in Canada, Germany, and the United Kingdom (UK). A total of 70 physicians (primarily hematologist-oncologists [78.

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Background And Aims: Limited real-world nontertiary care evidence on the patient therapeutic journey and disease burden of eosinophilic esophagitis (EoE) exists. The aim was to collect real-world data on the EoE patient journey across different age groups.

Methods: This retrospective, real-world, cohort study used electronic medical records and claims data provided by a rural integrated US healthcare system.

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To assess treatment patterns and outcomes in patients with non-del(5q) lower-risk myelodysplastic syndromes. Patient medical records were reviewed in the USA, Canada (CAN), UK and the EU. Analysis included 119 patients in the USA/CAN (median age, 61.

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Distal renal tubular acidosis (dRTA), also known as Type 1 renal tubular acidosis, is a rare disorder. It primarily occurs through the inability to secrete H+ ions. The causes of dRTA can be divided into primary and secondary.

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Aim: To examine clinical characteristics, real-world treatment patterns, and health outcomes among patients with germline -mutated, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer (ABC).

Methods: A retrospective analysis was conducted using medical records from patients with HER2-negative ABC with mutation who received cytotoxic chemotherapy. Data were stratified into groups with triple-negative breast cancer (TNBC) or hormone receptor-positive (HR+)/HER2-negative diagnoses.

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Hypoparathyroidism (HypoPT) is a rare disease associated with high morbidity. Its economic impact is not well understood. This retrospective, cross-sectional study used data from the United States-based National Inpatient Sample and the Nationwide Emergency Department Sample from 2010 to 2018 to quantify overall trends in number, cost, charges, and length of stay (LOS) for inpatient hospitalizations and number and charges for emergency department (ED) visits for HypoPT-related and for non-HypoPT-related causes.

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Background: Though the incidence of atrial fibrillation (AF) is increased in patients with cancer, the effectiveness of catheter ablation (CA) for AF in patients with cancer is not well studied.

Methods: We conducted a retrospective cohort study of patients who underwent CA for AF. Patients with a history of cancer within 5-years prior to, or those with an exposure to anthracyclines and/or thoracic radiation at any time prior to the index ablation were compared to patients without a history of cancer who underwent AF ablation.

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Background: Surgical therapy has been a long-standing option for valvular heart disease, in patients with history of cancer, it carries an increased risk of complications.

Objectives: Transcatheter edge-to-edge repair (TEER) for mitral regurgitation, represents a less invasive option. However, patients with history of cancer have generally been excluded from trials.

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To describe real-world testing patterns for in US patients with advanced/metastatic medullary thyroid cancer and determine consistency of real-world testing practices with national guidelines. The authors performed a retrospective medical record analysis of patients with advanced/metastatic medullary thyroid cancer who initiated systemic therapy between 2013 and 2018. Seventy-five US-based oncologists collected the data using a customized electronic data collection form.

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Article Synopsis
  • The prevalence of hospitalizations for ventricular tachycardia (VT) in young adults under 45 years is increasing, with significant rises in all-cause mortality rates and cardiac arrest incidents over different four-year periods from 2005 to 2018.
  • Data was analyzed from over 5 million hospitalizations, revealing a concerning trend in both the number of young adults admitted with VT and associated economic burdens, such as increased hospital costs.
  • The study found that while the average age of those hospitalized remained relatively stable, the demographic consistently showed a higher percentage of males and White individuals, highlighting potential disparities in risk factors related to race and gender.
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tRNA fragments (tRFs) are small RNAs comparable to the size and function of miRNAs. tRFs are generally Dicer independent, are found associated with Ago, and can repress expression of genes post-transcriptionally. Given that this expands the repertoire of small RNAs capable of post-transcriptional gene expression, it is important to predict tRF targets with confidence.

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To assess real-world ruxolitinib treatment patterns and outcomes in patients diagnosed with primary or secondary myelofibrosis. Patient medical records were reviewed in six countries. Eligible patients (n = 469) had a mean age of 63.

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Background: Medullary thyroid cancer (MTC) accounts for approximately 1.6% of new cases of thyroid cancer. The objective of this study was to describe patient characteristics, biomarker testing, treatment patterns, and clinical outcomes among patients with advanced/metastatic MTC in a real-world setting in the United States and to identify potential gaps in the care of these patients.

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The field of peripheral arterial intervention has exploded over the past 20 years. Current knowledge includes a growing evidence base for treatment as well as a myriad of new interventional approaches to complex disease. This review seeks to outline the current state of the art for interventional approaches to lower extremity peripheral arterial disease.

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Purpose Of Review: Immune checkpoint inhibitors (ICIs) have improved the survival of several cancers. However, they may cause a wide range of immune-related adverse events (irAEs). While most irAEs are manageable with temporary cessation of ICI and immunosuppression, cardiovascular toxicity can be associated with high rates of morbidity and mortality.

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Article Synopsis
  • Giant cell myocarditis is a rare and severe inflammatory heart disease primarily affecting young and middle-aged adults, often presenting with serious complications like heart failure and arrhythmias.
  • Diagnosis can be challenging due to its diverse symptoms and similarity to other heart issues, typically requiring a specialized tissue biopsy for confirmation.
  • Advances in treatment with immunosuppressive therapy have improved survival rates, emphasizing the importance of early diagnosis and intervention to reduce the risk of transplantation or death.
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  • The study aimed to analyze patient characteristics and treatment patterns for psoriatic arthritis (PsA) in Japan using data from the Medical Data Vision database.
  • A total of 639 patients were assessed, revealing that most received NSAIDs and conventional DMARDs, while 35.5% initiated biologic DMARDs (bDMARDs) over a median follow-up of 25.2 months.
  • Findings indicated that patients on bDMARDs had higher overall healthcare costs but lower hospitalization costs and shorter stays compared to those on other treatments, suggesting adherence to recent treatment guidelines.
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Article Synopsis
  • * Both therapies can cause serious cardiovascular issues, such as myocarditis with ICI and cytokine release syndrome with CAR T, emphasizing the need for careful monitoring and treatment.
  • * Cardio-oncologists are crucial in managing these risks by optimizing cardiovascular health before therapy and promptly addressing any cardiotoxic effects that arise.
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Background: Cancer and cardiovascular disease (CVD) are independently associated with adverse outcomes in patients with COVID-19. However, outcomes in patients with COVID-19 with both cancer and comorbid CVD are unknown.

Methods: This retrospective study included 2,476 patients who tested positive for SARS-CoV-2 at 4 Massachusetts hospitals between March 11 and May 21, 2020.

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